Abstract
The celiac artery usually trifurcates into the common hepatic artery, splenic artery, and left gastric artery, but it is known to present several anatomical variations. In such cases, detailed knowledge of the variation is needed preoperatively to safely perform surgery. A 77-year-old woman was referred to our hospital for the treatment of gastric cancer. She had a triple anatomical variation: simultaneous presence of the hepato-spleno-mesenteric trunk, a common trunk for both inferior phrenic arteries and the left gastric artery, and a common hepatic artery that ran behind the portal vein. We detected this variation on routine preoperative multidetector computed tomography angiography, and safely and adequately performed laparoscopic distal gastrectomy.
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MS was the first assistant during this patient’s surgery, and she wrote this manuscript. TY performed the surgery and gave advice regarding the drafting of this manuscript. KE developed the procedure of laparoscopic gastrectomy used at our facility. HT, HK, YI, and YK contributed to the selection of treatment for this patient.
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Shibamoto, M., Yamada, T., Ehara, K. et al. Simultaneous presence of the hepato-spleno-mesenteric trunk, a common trunk for both inferior phrenic arteries, the left gastric artery, and a common hepatic artery that ran behind the portal vein in a patient with gastric cancer. Clin J Gastroenterol 15, 553–559 (2022). https://doi.org/10.1007/s12328-022-01618-4
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DOI: https://doi.org/10.1007/s12328-022-01618-4